How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $181.97 | Professional | None | $11.48 | $11.48 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $26.30 | Facility | None | $20.42 | $24.55 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $15.85 Typical High $61.66 | Professional | None | $4.17 | $15.85 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $36.31 | Facility | None | $23.44 | $27.54 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $16.22 Typical High $29.51 | Professional | None | $5.50 | $16.22 | $29.51 |
DeanCare Setting Facility Modifier None Typical Low $7.59 Median $41.69 Typical High $66.07 | Facility | None | $7.59 | $41.69 | $66.07 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $8.91 Typical High $100.00 | Facility | None | $7.59 | $8.91 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $9.55 Typical High $27.54 | Professional | None | $5.50 | $9.55 | $27.54 |
Network Health Setting Facility Modifier None Typical Low $11.48 Median $13.18 Typical High $23.99 | Facility | None | $11.48 | $13.18 | $23.99 |
Network Health Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $26.92 | Professional | None | $7.08 | $9.55 | $26.92 |
Prevea360 Setting Facility Modifier None Typical Low $7.59 Median $8.13 Typical High $12.02 | Facility | None | $7.59 | $8.13 | $12.02 |
Quartz Setting Professional Modifier None Typical Low $10.47 Median $21.88 Typical High $35.48 | Professional | None | $10.47 | $21.88 | $35.48 |
Quartz Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $24.55 | Professional | None | $4.47 | $5.50 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $117.49 | Professional | None | $19.95 | $19.95 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $117.49 | Professional | None | $38.90 | $63.10 | $117.49 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $32.36 | Professional | None | $4.79 | $7.59 | $32.36 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $91.20 | Professional | 52 · Reduced service | $5.62 | $5.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $37.15 | Professional | 53 · Discontinued | $2.29 | $2.29 | $37.15 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 5th of 51
$14.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.